# CALMCATALOG

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225881568
- **Authorized official:** MARIE-IRVINE SEMEXANT LCSW (SOCIAL WORKER)
- **Authorized official phone:** (516) 418-2551

## Contact information

- **Practice address:** 770 MEACHAM AVE, ELMONT, NY 11003-4717
- **Practice address phone:** (516) 418-2551
- **Mailing address:** 770 MEACHAM AVE, ELMONT, NY 11003-4717
- **Mailing address phone:** (516) 418-2551

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 04/08/2024
- **Last updated:** 04/08/2024